Doctor Name: | MR. KENNETH ALLEN WALKER |
NPI Number: | 1265632111 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CAMS, CPRP |
License Number: | |
Business Practice Address: | 2675 N Martin St Bldg #700 East Point, GA - 303446948 |
Business Phone Number: | 4043216111 |
Business Fax Number: | 4043274028 |
Mailing Address: | 2675 N Martin St, Bldg #700 EAST POINT |
State: | GA |
Postal Code: | 303446948 |
Phone Number: | 4043216111 |
Fax Number: | 4043274028 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |